Active NPI
Jason T Merritt, PT
- Physical Therapist
- Mountain View, AR
National Provider Identifier
1255069712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03718
- Practice address
- 103 Mountain Place Dr Ste B
Mountain View, AR 72560-6802 - Phone
- (870) 269-5215
- NPI assigned
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP014700T | AR | |
| Physical Therapist | 225100000X | 03718 | LA | Primary |
Addresses
Primary practice location
103 Mountain Place Dr Ste B
Mountain View, AR 72560-6802
Mailing address
103 Mountain Place Dr Ste B
Mountain View, AR 72560-6802
Phone (870) 269-5215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP014700T | AR | MD | Physical Therapist |
| 03718 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1255069712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MOUNTAIN PLACE DR STE B",
"city": "MOUNTAIN VIEW",
"state": "AR",
"postal_code": "725606802",
"telephone_number": "870-269-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MOUNTAIN PLACE DR STE B",
"city": "MOUNTAIN VIEW",
"state": "AR",
"postal_code": "725606802",
"telephone_number": "870-269-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "JASON",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "CP014700T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "03718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.